J Korean Assoc Oral Maxillofac Surg.  2008 Apr;34(2):207-215.

Treatment of transverse deficiency of maxilla with sarpe in cleft palate

• Lee KH
• Hong SM
• Park JW
• Cheon SH
• Park YH

Abstract

Patients who have repaired cleft lip and palate generally undergo restriction of maxillary growth. Concave facial profile is often exhibited with relatively normalized mandible. Horizontal and sagittal deficiency of the maxilla could cause anterior and posterior crossbites. In growing patients, orthodontic and orthopedic treatment is acceptable with maxillary expansion and protraction. However, surgical approach has to be accompanied with orthodontic treatment in skeletally matured patients. We used SARPE and BSSRO to expand the constricted maxilla and retract the mandible in a patient who had cleft palate repaired in infancy. Through SARPE, orthodontic treatment and BSSRO, we sufficiently expanded the maxillla and improved facial profile.

Keyword

SARPE; BSSRO; Cleft palate; Maxillary deficiency; Mandibular prognathism

MeSH Terms

Cleft Lip
Cleft Palate
Humans
Malocclusion
Mandible
Maxilla
Orthopedics
Palatal Expansion Technique
Palate